CIN Webinar — Social Needs Screening and Referral Models

Practices, tools, and workflows leading health care organizations have adopted to address social needs

Past Event
Thursday, March 21, 2019
12-1 PM (PT)

About This Event

The California Improvement Network has identified addressing social needs that impact health as a top priority area for 2018–19. This webinar explored promising strategies to address social needs that were implemented by four unique organizations: CBC Independent Practice Association, Kaiser Permanente Northwest, La Maestra Community Health Center, and SCAN Health Plan.

This webinar covered each organization’s efforts, including successes and challenges related to:

  • Implementing social needs assessments (both the national PRAPARE tool and “homegrown” assessments will be reviewed)
  • Implementing a community resource directory and referral system, with a focus on Healthify, Aunt Bertha, and “homegrown” systems
  • The staff champions that lead social needs screening and referral programs




Claire Cain, MPH
Consultant, Redwood Community Health Coalition
Aja Evans, LMHC
Director, Pathway Home Coordinated Behavioral Care
Marie Hubbard, MSW
Program Manager II, Healthforce Center at UCSF
Kristin Kane, MSW
Department Administrator, Complex Care, Community Resource Navigation, Kaiser Permanente
Elise Kohl-Grant
Director, Information Technology Project Management, Coordinated Behavioral Health Care
Magda Lenartowicz, MD
Associate Medical Director, SCAN Health Plan
Sonia C. Tucker
Chief Quality Officer, La Maestra Community Health Centers
Natalie Wang, MHA
Project Management Associate, Healthcare Services, SCAN Health Plan

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